Event recording link: https://youtu.be/tf-wAYHk-Ns
Timestamps and Notes--a pdf of this document is available in the event's online resource module here: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020
Recording made public July 11th, 2020, and
is available here: https://youtu.be/tf-wAYHk-Ns
For all the event resources, go to the event’s online
resource module: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020
Time Stamps and Notes from the 6.20.2020 Telehealth Roundtable Event
Revised with the
edited event recording
You can help offset the outgoing costs of this resource (video editing, transcript creation,
etc.) in these ways:
· Buy access to the event's online resource module: https://hospital-practice-basics.teachable.com/p/telehealth-roundtable-june-2020
·
Buy access to
another resource via our website
o Paths to Practice: Interview with Dr. Annie Budhathoki (Huntsman Cancer Institute, outpatient and inpatient
integrative acupuncture and oncology in hospital-based practice)
Thank you.
Time Stamps and Short Notes for the Recording
Introduction (Megan)
0:00 start
Minute 2:10 review of agenda
Minute 3 – 5 Where to find extra content for this event
Minute 4:50 – 8:20
Review of what the Hospital Practice Handbook Project is
Minute 08:30
Why Telehealth?
Minute 09:30 – 1140
Why this Event?
“Do not follow where the path may lead. Go instead where there is no path and leave a trail.” -Ralph Waldo Emerson
Minute 11:20
Defining Telehealth
Minute 12:20 – 14:30
Introduction of Panelists
Paul Magee’s presentation
Start at Minute 14:30
Minute 17:20 – 17:50
Paul mentions the metrics his program is tracking
Minute 22:30 – 23:20
I mention Paul’s other video recorded in May 2020 on the “The Allina Inpatient Telehealth pivot”.
Find Paul’s video, full transcript and more at this
link: https://hospital-practice-basics.teachable.com/courses/telehealth-roundtable-june-2020/lectures/17532348
End 24:35
John Burns’ presentation
Starts at 24:45
14 LAcs in the integrative medicine department
Minute 30
Telehealth for oncology patients receiving treatment at
the infusion center(s)
Minute 31 -32
John discusses how the acupuncture team collaborated on
the development of a training/competency program to deliver “TCM Acupuncturist
Directed Therapeutic Strategies”.
Minute 32 -33
Setting up reimbursement for telehealth services by LAcs.
Coding, billing, reimbursement agreement with third party
payors (3PP)
Getting LAcs the access to tech for virtual visits and the
system’s EHR compatibility
For his full presentation, go to this link: https://hospital-practice-basics.teachable.com/courses/telehealth-roundtable-june-2020/lectures/17532347
End minute 34:00
Juli Olson’s presentation
Starts at minute 34:15
Currently, there are 71 LAcs in the VHA. Most hired
within the last 2 years.
Minute 43:45 – 44:15
Slide example of acupressure visual handouts
Minute 44:20
Slide with lots of links to share with practitioners
For full presentation and notes, go to this link: https://hospital-practice-basics.teachable.com/courses/telehealth-roundtable-june-2020/lectures/18517573
End minute 44:50
Galina Roofener’s presentation
Starts at minute 45:00
Minute 51:43
Basic review of SOAP documentation in telehealth TCM
visit
Minute 52:15 – 53:45
Obtaining and recording objective measures for a telehealth
visit
Tongue photo
Pulse rate and echocardiogram (EKG)
Minute 54:00 – 56:30
CHM and telehealth at a medical center
For Galina’s full presentation, go to this link: https://hospital-practice-basics.teachable.com/courses/telehealth-roundtable-june-2020/lectures/18499855
End at minute 57:35
Mori West’s presentation
Starts at minute 57:40
minute 60
Telehealth virtual
codes 99421 – 423 are time-based codes
Phone codes 99441-443 are time-based codes
Time is cumulative in a 7-day period
64:30 – 66 min
E/M codes for telehealth 99201, 99212, etc.
66-67 minutes
Modifiers
End at 70 minutes
Nancy Gahles’s presentation
Starts at 70 minutes
minute 73
Public health initiatives and telehealth
Telehealth, a tool for public health
Minute 75
Over the counter (OTC)
77 minutes
Grants are available for implementing telehealth
78 minutes
Language in federal law—IHPC is working on this
79 – 81 minutes
ICE/NCCA accreditation of national certification.
Why/reasons for this standard from a federal perspective
Example: NCCAOM is an LAc’s national certification exam.
NCCAOM has the NCCA/ICE accreditation
81 minutes
CMS info and May 1st date
84 minutes
FQHCs mentioned
The IHPC caucus…
End at 84 minutes, 30 seconds
Panel Discussion
Starts at 84 minutes, 40 seconds
Questions for Nancy Gahles
Socratic discussion amongst panelists
Interim rules, working with the national association (ASA)
The Act of Congress
Bundled payment for opioid treatment plans
ASA Town Halls—6/24/2020 session on Medicare Megan
mentioned.
minute 90—Question on % workload in telehealth
Paul, John, Juli, Galina
Minute 94 (aka 1 hour, 34 minutes)
—Question on
1.
Sustainability of the telehealth program…
a. What
is the patient buy-in of your telehealth program?
b. How
do you know it is sustainable?
c. What
metrics are you tracking?
Paul, John, Juli, Galina
Minute 103 (aka 1 hour, 43 minutes)
—Telemetry, Telehealth, & LAcs
Galina is uploading EKG (echocardiogram)
Visual
of heart rate, pulse quality
one lead EKG…Apple watch, Cardio Life electrodes
Juli, John, Paul
LAcs
can see the data uploaded in the EHR by in-person tech or at-home blood
pressure cuff and readings.
Minute 107
Coding and Billing Questions from other Panelists for
Mori
John, Juli, Galina
Minute 114 (aka 1 hour, 54 minutes)
—Issues and Solutions, more
1.
What was your biggest issue?
a. Did
you overcome it?
b. If
yes, how?
c. Any
other outstanding issues?
2.
Last note/lesson you want to end on.
Paul, John, Juli, Galina, Mori.
Ended at 128 minutes, 49 seconds (aka 2 hours, 8 minutes,
49 seconds)
Related blog articles
- What Could a Patient-Centered Integrative Health Telehealth Program Look Like?
- Phased Opening/Closure and Remote Work Options, including Telehealth, the Summer Community Survey
- Telehealth Roundtable for Hospital-based Acupuncture Programs--the Event (announcing)
- A Review of our Community Discussions on Pandemic Prep & Response
Related Playlists on our YouTube Channel
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